1. Sleeping Safe and Sound: A Multidisciplinary Hospital-wide Infant Safe Sleep Quality Improvement Initiative.
- Author
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Butler SC, Carroll K, Catalano K, Atkinson C, Chiujdea M, Kerr J, Severtson K, Drumm S, Gustafson K, and Gingrasfield J
- Subjects
- Humans, Infant, Infant, Newborn, Infant Care methods, Infant Care standards, Sleep physiology, Female, Male, Practice Guidelines as Topic, Patient Safety standards, Quality Improvement, Sudden Infant Death prevention & control, Hospitals, Pediatric, Guideline Adherence
- Abstract
Introduction: Promoting safe sleep to decrease sudden unexpected infant death is challenging in the hospital setting., Local Problem: Concern for adherence to safe sleep practice across inpatient units at a large pediatric hospital., Methods: Used quality improvement methodologies to promote safe sleep across all units., Interventions: Development of a multidisciplinary expert group, hospital-wide guidelines, targeted interventions, and bedside audits to track progress., Results: Adherence to safe sleep practices improved from 9% to 53%. Objects in the crib were a major barrier to maintaining a safe sleep environment. Safe sleep practices were less likely to be observed in infants with increased medical complexity (p = .027)., Conclusions: Quality improvement methodology improved adherence to infant safe sleep guidelines across multiple units. Medically complex infants continue to be a challenge to safe sleep. Therefore, ongoing education for staff and further research into best practices for the most complex infant populations are necessary., Competing Interests: CONFLICTS OF INTEREST None to report. The authors thank the Safe Sleep SME Committee at Boston Children's Hospital., (Copyright © 2024 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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